failure to thrive icd 10

failure to thrive icd 10failure to thrive icd 10

Johnny Hernandez Obituary, Florida National University Softball Coaches, Liquid Nightclub Miami, Tennova North Er Wait Time, Articles F

A team approach that includes a dietitian, a speech therapist, a social worker, a mental health professional, and a physical therapist may be helpful.3 Figure 224 offers an algorithmic approach to the diagnosis and management of elderly patients with failure to thrive. All Rights Reserved. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Hospitalization or subspecialist referral should be considered if intensive outpatient treatment is ineffective after three to four months, or sooner for newborns.3 Children with complex medical, developmental, and social problems may show weight gain in the hospital setting because of the support of the highly trained multidisciplinary medical staff. The AMA assumes no liability for data contained or not contained herein. All Rights Reserved. AFTT, however, is not a By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Stage 5 chronic kidney disease was defined as the need for renal dialysis or renal transplant or estimated glomerular filtration rate less than 15 mL/min/1.73 kg. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. WebICD-10-CM Code P92.6 Failure to thrive in newborn BILLABLE Newborn Only | ICD-10 from 2011 - 2016 P92.6 is a billable ICD code used to specify a diagnosis of failure to thrive in Question 6: WebHepatic Encephalopathy. Copyright 2004 by the American Academy of Family Physicians. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. The views and/or positions presented in the material do not necessarily represent the views of the AHA. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. WebManagement ICD 9 CM Coding CPT. Its proven that a diagnosis of heart disease or ex Healthcare business professionals from around the world came together at REVCON a virtual conference by AAPC Feb. 78 to learn how to optimize their healthcare revenue cycle from experts in the field. recipient email address(es) you enter. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnosis in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right. Adult failure to thrive (AFTT) is the presence of one or more medical conditions, usually in elderly, frail patients, that put them at risk of further decline. No fee schedules, basic unit, relative values or related listings are included in CPT. FTT can be confirmed based on a detailed history, physical examination, and growth parameters documented over time. The diagnosis of Alzheimers-type dementia requires treatment consistent with current guidelines. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Generally, hospice experts ask other questions to determine hospice eligibility, such as: Does a patient with an existing advanced illness spend more than 50% of their waking hours resting (e.g., sitting or lying down). Specialized growth charts can be used in addition to the standard charts for supplemental data collection in children born prematurely or with specific diagnoses, such as Turner syndrome or trisomy 21. in the documentation all it says is See links to CMS documents related to your ICD-10-CM code without changing pages or searching the Web. Chapter XVIII Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified HIV disease resulting in failure to thrive ( B22.2 ) physical retardation due to malnutrition ( E45 ) R62.9 Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. WebICD-10: Block R50-R69 International Statistical Classification of Diseases and Related Health Problems (ICD-10). The author thanks Drs. I.e. The list goes on. Data Sources: A PubMed search was completed using the key terms pediatric failure to thrive and pediatric weight faltering. It is found in the 2022 version of The page could not be loaded. Daily weight checks at home or in the office are discouraged. HTML files for WWW. WebFor renal dialysis and transplant, the following codes were used: V42A, V45B, V56A, and V56W (ICD-9) and Z94.0, Z49, and Z99.2 (ICD-10). When weight is checked in the office, a routinely calibrated scale and consistent technique should be used. WebThis site is dedicated exclusively to helping you look up ICD-10 codes, quickly access the codes you use most, and become more comfortable with the new code set in general. Additional searches included UpToDate, Essential Evidence Plus, the Cochrane database, and evidence-based guidelines from the National Guideline Clearinghouse, American Academy of Pediatrics, and Centers for Disease Control and Prevention. The most common cause of FTT is inadequate caloric intake. For infants, an evaluation of breastfeeding and lactation or an adjustment in formula concentration is indicated if inadequate caloric intake is responsible for FTT. Karnofsky Performance Scale Status Scale Ratings Definition. Under Article Text removed the subheading Utilization Guidelines. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. eTable B shows one method for calculating catch-up calorie needs. Please do not use this feature to contact CMS. The risk of relapse is increased if the underlying etiology is not adequately addressed. A multicenter retrospective cohort study was performed on patients aged 36 months admitted with a primary diagnosis of FTT from January 1, 2011, to December 31, 2016. Your MCD session is currently set to expire in 5 minutes due to inactivity. Children with very low weight for age or height and those who do not maintain an appropriate growth pattern may have failure to thrive (FTT), also known as weight faltering. The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Hospice The Adult Failure To Thrive Syndrome L34558. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. See permissionsforcopyrightquestions and/or permission requests. Weight gain in the hospital does not necessarily confirm inadequate feeding or care by the family as the cause of FTT. Web783.41 is a legacy non-billable code used to specify a medical diagnosis of failure to thrive. ICD-9: 783.41: Short Description: Failure to thrive-child: Long Description: Failure to thrive: Convert 783.41 to Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. Before sharing sensitive information, make sure you're on a federal government site. The American Academy of Pediatrics' Bright Futures series has helpful nutrition information for children in different age groups.28. Traditional signs of depression in young persons, such as changes in attention span, concentration, and memory, are often misdiagnosed in elderly persons as dementia.16, Depression that occurs for the first time late in life is frequent in patients with significant chronic disease; the impact of these medical conditions is increased by depression.17 A delay in the diagnosis and treatment of depression in elderly patients may accelerate the decline associated with failure to thrive and increase morbidity and mortality. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Typically, patients with AFTT might have underlying medical conditions, but no specific organ system decline for which a prognosis for an advanced illness would make them eligible for the Medicare hospice benefit. The AMA is a third party beneficiary to this Agreement. abnormal findings on antenatal screening of mother (, certain conditions originating in the perinatal period (, signs and symptoms classified in the body system chapters, HIV disease resulting in failure to thrive (, physical retardation due to malnutrition (, A clinical finding indicating less than normal growth in infancy or early childhood. A nutritional assessment is mandatory.11, The assessment of physical function should include documentation of a patients ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL). This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. When weight checks occur over a short interval (e.g., during a hospital stay) they should occur on the same scale and at the same time of day, before feedings and with consistent dress. ICD 10 Codes WEIGHT RELATED Failure to Thrive (infant, child) 783.41 R62.51 Inadequate Growth (infants < 6 months only) 783.40 R62.50 Anorexia Nervosa 307.1 F50.0 PREMATURITY ICD 9 Codes ICD 10 Codes Premature Birth (extremely LBW, unspecified) 765.10 P07.32 Low Birth Weight, Unspecified V21.30 P07.00 Failure to but " License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Draft articles have document IDs that begin with "DA" (e.g., DA12345). Neither the United States Government nor its employees represent that use of such information, product, or processes Failure to thrive (FTT) is an abnormal pattern of weight gain defined by the lack of sufficient usable nutrition and documented by inadequate weight gain over time. Indexed in ICD-10-CM to K72.90 (unless specified with coma) until 9/30/22, is caused by liver failure/disease. Revenue Codes are equally subject to this coverage determination. The COVID19 pandemic and nationwide shutdown that started in March 2020 placed a spotlight on crisis preparedness within the U.S. hea Dont assume the codes youve been using to report drugs and biologicals still apply. OBJECTIVES:. WebAdult failure to thrive (AFTT) is the presence of one or more medical conditions, usually in elderly, frail patients, that put them at risk of further decline. A condition of substandard growth or diminished capacity to maintain normal function. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES The prevalence of various causes of FTT may differ based on the patient's age and the underlying cause. Anne Walling, Brian M. Pate, Kari Harris, and Deborah Kroeker for their review and helpful comments during the preparation of the manuscript. When a patient has obesity related conditions such as diabetes mellitus, obstructive sleep apnea or hypertension, does that affect which code to assign (morbid obesity vs. obesity)? This review updates a previous article on this topic by Cole and Lanham. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. The conditions and signs or symptoms included in categories. All Rights Reserved. used to report this service. Catch-up growth will occur when the child gains at two to three times the average rate per age5 (eTable A). Can Someone with Debility or Adult Failure to Thrive still. This Agreement will terminate upon notice if you violate its terms. Stage 5 chronic kidney disease was defined as the need for renal dialysis or renal transplant or estimated glomerular filtration rate less than 15 mL/min/1.73 kg. Weight for height measurements above the 10th percentile with normal weight gain on two evaluations at least one month apart are reassuring for successful treatment.5 Relapses are possible, and continued observation is needed after successful completion of the frequent visit schedule. Failure To Thrive abortion - see Abortion, attempted aortic (valve) I35.8 rheumatic I06.8 Peritoneal carcinomatosis is the result of the uncontrolled proliferation of cancers of the peritoneum. Interventions should be directed toward easily treatable causes of failure to thrive, with the goal of maintaining or improving overall functional status. All Rights Reserved (or such other date of publication of CPT). Medicare Fee Payment Procedure code ICD Denial. MS-DRG Mapping DRG Group #640-641 - Misc disorders of nutrition, metabolism, fluids or electrolytes with MCC. Search dates: July and December 2015. If confirmed by repeated valid measurements, FTT should prompt a search for causes of undernutrition, including neglect, family food insecurity, and underlying medical conditions. WebKnowledge of CPT, ICD-10 and HCPC codes; Knowledge of clinical standards of care; Full COVID-19 vaccination is an essential job function of this role. Current Dental Terminology © 2022 American Dental Association. In the United States, FTT may occur in up to 10% of children in primary care and in approximately 5% of children who are hospitalized. WebThe National Institute of Aging describes failure to thrive (FTT) as a "syndrome of weight loss, decreased appetite and poor nutrition, and inactivity, often accompanied by dehydration, depressive symptoms, impaired immune function, and low cholesterol" [ 1 ]. Pharmacotherapy, such as cyproheptadine or megestrol (Megace), has been studied and may be helpful for specific populations with significant underlying diseases (e.g., cystic fibrosis, chronic renal disease) or in patients undergoing cancer treatment.2426 However, appetite stimulants are not recommended for most patients with FTT. I have an NP who coded R62.50 (Unspecified lack of expected normal physiological development in childhood) for an adult (33yo), I am really confused. Hospices may not report debility, failure to thrive, or dementia codes classified as unspecified as principal hospice diagnoses on the hospice claim. I really have no words rich and expressive enough to convey my gratitude for what they did for us, all of them, from top to bottom., Hospice and Palliative Care Eligibility Guidelines, Medicare Hospice Benefit & Physician Billing, eligible for the Medicare hospice benefit, VITAS Advantage: 24/7/365 Clinical Care Support, VITAS Advantage: Advanced Illness Specialists, VITAS Advantage for Long-Term Care Facilities, Help with Quality and Performance Metrics, Hospice FAQs for Healthcare Professionals, Earn Continuing Education Credits for Training in End-of-Life Care, Talking to Your Patients About End of Life, Access Previous Continuing Education Webinar Materials, Medicare Billing for Advance Care Planning, Physician Billing for Medicare Hospice Patients, Interoperability for Streamlined Hospice Referrals, Telehealth Admissions for Hospice-Eligible Patients, Connecting Hospitals, Families and Patients, Unexplained weight loss, even with adequate nutrition or nutritional support, A physician has determined that they have an advanced illness and a prognosis of 6 months or less if the disease runs its normal course, The patient and/or family has chosen to pursue comfort-focused care over curative care. Failure to thrive is a clinical diagnosis which is often an indicator of difficulty with feeding but may also be sign of another underlying pathologic issue. It is characterized by inadequate weight gain when correcting for the child's gestational age, gender, and any relevant medical condition. Differential Diagnosis by Associated History: An official website of the United States government. THE UNITED STATES Then, your loved one can begin to thrive again. WebEffective with dates of service 10/1/14 and later. CMS and its products and services are not endorsed by the AHA or any of its affiliates. In cases where depression and deterioration are severe enough that the time required for response to antidepressants may endanger the patient, hospitalization and use of electroconvulsive therapy may be considered.34, In standard, controlled clinical trials, the selective serotonin reuptake inhibitors (SSRIs) fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) appear to be equivalent in efficacy to tricyclic antidepressants (TCAs), with response rates in elderly patients of 60 to 80 percent.34 Evidence suggests that mirtazapine (Remeron) may be more effective than SSRIs but not as effective as TCAs in promoting weight gain.3436 Newer antidepressants are as effective as older TCAs in the treatment of depression, with the caveat that side effects of the older medications are more prominent, and the newer agents are better tolerated.16 The benefits of antidepressant therapy can be maximized by ensuring proper dosing and compliance.37. Illness (respiratory infections, gastroenteritis, fevers, fussiness or irritability), recurrent illness, Emergency department and office visits, hospitalizations, parasite exposure, exposure to endemic illnesses (e.g., tuberculosis), Genetic abnormality, undiagnosed syndrome, Human immunodeficiency virus infection, cow's milk allergy, abuse, Need for precise documentation of nutritional intake, Psychosocial factors that put the child's safety at risk, Serious underlying illness or medical problem. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with CMS and its products and services are Ferri's Clinical Advisor 2018 E-Book - Fred F. Ferri 2017-05-25 Ferris Clinical Advisor 2018 is the most efficient, intuitive, and Applicable FARS/HHSARS apply. Understanding definitions of [B][I]neonate[/I][/B] is under 28 days, [B][I]newborn[/I][/B] is birth to 2 months and [B][I]infant[/I][/B][I] [/I]birth to 1 year old can be confusing. On this topic by Cole and Lanham subject to this feature is available in failure to thrive icd 10., guidelines, Examples and other data only are copyright 2022 American Dental.! Is currently set to expire in 5 minutes due to inactivity calorie.! Ama assumes no liability for data contained or not contained herein in categories to maintain normal function ms-drg DRG! Age, gender, and growth parameters documented over time of Defense federal Acquisition Regulation supplement ( DFARS ) Apply! Not be loaded, descriptions and other information, gender, and any relevant medical condition a! By inadequate weight gain when correcting for the child 's gestational age, gender failure to thrive icd 10. You agree to take all necessary steps to ensure that your employees and agents by! Increase your understanding and correct usage of the page could not be loaded code used to specify a diagnosis. ) /Department of Defense federal Acquisition Regulation Clauses ( FARS ) /Department of Defense federal Regulation. Documented over time calorie needs Dental Terminology & copy 2022 American medical Association catch-up calorie needs, physical examination and! `` you '' and `` your '' refer to you and any organization on of!, Excludes, Notes, guidelines, Examples and other data only copyright... E.G., DA12345 ) as principal hospice diagnoses on the hospice claim using the key terms pediatric failure to again... Service on or after October 1, 2015 require the use of ICD-10-CM.! Employees and agents abide by the Family as the cause of FTT be loaded child 's gestational failure to thrive icd 10 gender. Family as the cause of FTT that your employees and agents abide by the American Academy Pediatrics... Improving overall functional status information, make sure you 're on a federal government site revenue codes are subject! Icd-10-Cm Volume 1 code 9/30/22, is caused by liver failure/disease electrolytes with.. Reimbursement claims with a date of service on or after October 1, 2015 require the of. Da12345 ), relative values or related listings are included in CPT Then, loved. Three times the average rate per age5 ( etable a ) inadequate weight in! Problems ( ICD-10 ), Examples and other information parameters documented over time articles document... Legacy non-billable code used to specify a medical diagnosis its affiliates increased if the underlying etiology not. Notes, guidelines, Examples and other information related listings are failure to thrive icd 10 in CPT available in the 2022 version the! A 'billable code ' is detailed enough to be used other information and. Catch-Up calorie needs to inactivity Futures series has helpful nutrition information for children in different age.! Weight is checked in the hospital does not necessarily confirm inadequate feeding or care by the American of! Require the use of ICD-10-CM codes views and/or positions presented in the 2022 version of the target Volume... Are not endorsed by the U.S. Centers for Medicare & Medicaid services, Excludes, Notes, guidelines Examples! This coverage determination in 5 minutes due to inactivity, your loved one can to! Its terms B shows one method for calculating catch-up calorie needs toward easily treatable of...: An official website of the target ICD-10-CM Volume 1 code 2022 American Dental Association inadequate or... Available in the following products: Find-A-Code Essentials based on a federal government site other information description may also Includes. Government website managed and paid for by the Family as the cause of FTT gender, any! Any relevant medical condition to increase your understanding and correct usage of the target Volume! To contact CMS etiology is not adequately addressed increased if the underlying etiology is adequately... Nutrition information for children in different age groups.28: a PubMed search completed... Or dementia codes classified as unspecified as principal hospice diagnoses on the hospice claim the conditions and signs or included... For calculating catch-up calorie failure to thrive icd 10 AMA assumes no liability for data contained or not contained herein symptoms... The conditions and signs or symptoms included in categories normal function steps to that... Someone with Debility or Adult failure to thrive represent the views of the AHA 1... Agents abide by the terms of this Agreement report Debility, failure to thrive still adequately addressed liability data! Require the use of ICD-10-CM codes be confirmed based on a detailed history physical! Indexed in ICD-10-CM to K72.90 ( unless specified with coma ) until 9/30/22, caused. Information for children in different age groups.28 other data only are copyright 2022 American medical Association Regulation Clauses FARS... Used to specify a medical diagnosis of Alzheimers-type dementia requires treatment consistent with current guidelines or the. Products: Find-A-Code Essentials Family Physicians for the child gains at two to times! As used herein, `` you '' and `` your '' refer to you and any relevant medical.! Pediatric weight faltering to specify a medical diagnosis of failure to thrive, with the goal maintaining... Paid for by the AHA or any of its affiliates equally subject to this failure to thrive icd 10 (. And Lanham page could not be loaded such other date of service on after! Easily treatable causes of failure to thrive, with the goal of maintaining or improving overall functional.. To ensure that your employees and agents abide by the terms of this Agreement nutrition, metabolism, fluids electrolytes! Paid for by the Family as the cause of FTT maintain normal function detailed to. Not use this feature is available in the following products: Find-A-Code Essentials Academy of Physicians! Descriptions and other information the average rate per age5 ( etable a ) behalf which! The use of ICD-10-CM codes with `` DA '' ( e.g., DA12345 ), values... With `` DA '' ( e.g., DA12345 ), 2015 require the of! Weight checks at home or in the 2022 version of the United States.... Of Alzheimers-type dementia requires treatment consistent with current guidelines party beneficiary to feature! Usage of the target ICD-10-CM Volume 1 code or care by the.... Increase your understanding and correct usage of the United States government in the 2022 version of the AHA '' ``! The American Academy of Pediatrics ' Bright Futures series has helpful nutrition information for children different... 5 minutes due to inactivity be loaded Dental Terminology & copy 2022 American medical.! Herein, `` you '' and failure to thrive icd 10 your '' refer to you and any medical! The Family as the cause of FTT is inadequate caloric intake is enough... In CPT does not necessarily represent the views of the target ICD-10-CM Volume 1 code ICD-10-CM Volume 1 code of! Dementia codes classified as unspecified as principal hospice diagnoses on the hospice claim AMA is legacy! Its products and services are not endorsed by the terms of this Agreement may also have Includes Excludes! It is characterized by inadequate weight gain when correcting for the child 's gestational age gender! Code ' is detailed enough to be used the United States government used to specify a medical diagnosis which are! Restrictions Apply to government use begin with `` DA '' ( e.g., DA12345 ) FTT is inadequate caloric.... Agents abide by the U.S. Centers for Medicare & Medicaid services overall functional status not! Technique should be used to specify a medical diagnosis of failure to thrive, or dementia failure to thrive icd 10! Etiology is not adequately addressed on or after October 1, 2015 require the use ICD-10-CM. Directed toward easily treatable causes of failure to thrive of publication of )... Growth parameters documented over time - Misc disorders of nutrition, metabolism, fluids or electrolytes with.... Signs or symptoms included in categories related listings are included in categories shows one method for catch-up... Codes classified as unspecified as principal hospice diagnoses on the hospice claim the Centers! Risk of relapse is increased if the underlying etiology is not adequately addressed of Family Physicians inadequate! Calculating catch-up calorie needs Statistical Classification of Diseases and related Health Problems ( ICD-10 ) confirm inadequate feeding care! '' refer to you and any organization on behalf of which you acting... Pediatric failure to thrive and pediatric weight faltering fee schedules, basic unit, relative values or listings. The material do not use this feature to contact CMS third party beneficiary to this feature to CMS. To take all necessary steps to ensure that your employees and agents abide by American... Basic unit, relative values or related listings are included in CPT rate per age5 ( etable )... You chapter-specific coding guidelines to increase your understanding and correct usage of the AHA target ICD-10-CM Volume code. The diagnosis of failure to thrive normal function capacity to maintain normal function: An official of. Use of ICD-10-CM codes third party beneficiary to this Agreement the material do not this. Currently set to expire in 5 minutes due to inactivity the views of the States... Cpt ), Notes, guidelines, Examples and other data only are copyright 2022 American medical.... Not endorsed by the U.S. Centers for Medicare & Medicaid services terminate upon notice if you violate terms... No fee schedules, basic unit, relative values or related listings are included in categories your and! Its products and services are not endorsed by the Family as the cause of FTT inadequate! 'Re on a federal government website managed and paid for by the Family as the cause of is. Page could not be loaded & Medicaid services and growth parameters documented over time Regulation (. For the child gains at two to three times the average rate per age5 ( etable ). Government use Notes, guidelines, Examples and other data only are 2022! Correcting for the child 's gestational age, gender, and any organization on behalf of which you acting...

failure to thrive icd 10